Care Home: The Manse Residential Home

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What the care home does well People get written information before they move in, so they can see how staff will consider their right to live in a safe home, where they are respected, and their dignity is upheld. This also tells them how they can complain, and who to, if they have concerns about their care. The registered manager checks to make sure that the philosophy of thehome is being upheld, and that people are treated with dignity and respect, so she can be certain that standards do not slip. People say they are treated with dignity and respect, and that their right to privacy is not overlooked by staff. They say they feel safe, and if they did have any concerns or complaints, they know someone will listen to them and take action to put things right. They said things like `the staff are good - without exception`, and `I would speak to any of the staff if I felt frightened or had concerns, and feel confident they would put it right`. Someone said that generally the staff were `pretty good`, and had no concerns, although sometimes staff did not acknowledge the person when passing in the corridor. However, they said that the registered manager was `great`, and that if anything was wrong, they knew she would put it right. They said `She`d sort out any complaints`. One person said that the staff always knock on their bedroom door before entering, and that they are respectful. They said staff `always make sure we are well dressed and clean`. Someone else said staff respect their privacy, so they can spend time in their room undisturbed if they wish. They appreciated this. They said though that `someone is here if needed`. The registered manager and staff keep up to date about safeguarding procedures through training, so people can be sure that they know what signs to look for, should they suspect that someone at the home has been abused. Staff spoken with had confidence that the registered manager would listen and act on their concerns. What the care home could do better: Although people say they feel safe, the service user`s guide could tell them how this is achieved. For instance, through staff training, and working closely with other organisations with safeguarding responsibilities. Staff could have easily accessible contact details for the local authority, so any concerns which need investigating by them can be reported without delay or hesitation. Staff recruitment could be more robust, by checking that two suitable people have provided references for the prospective staff member, and by making sure that any gaps in the person`s employment are explored, before they begin to start working at the home. This is in addition to the checks that the home already carries out to help protect people from unsuitable workers. Staff who begin work before their police check has been returned should always be supervised. The provider devised a form which she will use in the future to evidence that this has been done. The home could seek information about the Independent Safeguarding Authority, which is a newly established body which now handles referrals about staff who have been found unfit to work with vulnerable people. This would help to make sure that the right organisation was informed if necessary, and without delay. We spoke to a person in their bedroom. The room was cold, and the radiator was switched off. We agreed to tell the registered provider about this, so they could put it right. The fire door into the room had been wedged open, which means it would not close should the fire alarm sound. Immediate action was taken to put this right at the time. All areas of the home could be kept heated at a temperature comfortable for the occupants.Fire doors could be kept shut, to reduce the risk to people from the spread of fire. Random inspection report Care homes for older people Name: Address: The Manse Residential Home The Manse Residential Home Ropewalk Knottingley Pontefract West Yorkshire WF11 9AL The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anne Prankitt Date: 1 8 1 1 2 0 0 9 Information about the care home Name of care home: Address: The Manse Residential Home The Manse Residential Home Ropewalk Knottingley Pontefract West Yorkshire WF11 9AL 01977677955 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Deborah Milton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sarah Jane Slack care home 16 Number of places (if applicable): Under 65 Over 65 0 0 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 16 16 Care Homes for Older People Page 2 of 9 What we found: This is a report of the findings of a random inspection. This inspection included a visit to the service, to look at how well The Manse makes sure people are protected from abuse. We also looked at how peoples privacy and dignity are upheld, and whether they are treated with respect. We looked at: Whether The Manse had good procedures and training for safeguarding. How it works with other organisations to make people safe. How the staff and management would respond to any allegation or concerns. How the staff interact with people, to uphold their dignity and self esteem. We obtained evidence by: Spending time with people living at the service. Speaking to the registered manager, registered provider, two staff, three people living at The Manse and two relatives. Looking at two staff recruitment records, the service users guide, and some policies and procedures. The registered manager said she has learnt from a recent safeguarding investigation carried out by the local authority, in respect of The Manse. She said that this has taught her to seek advice sooner from other professionals, and to change the way staff are supervised, by asking them direct questions about whether they have any concerns about people and their care. It has also taught her about the importance of keeping good records, even if events at the time seem insignificant. Overall, the inspection found that people living at The Manse feel safe. Staff have received training so they understand their responsibility to report any concerns they have about peoples well being. And people and staff have confidence that the registered manager will take any allegations made seriously, and act on them promptly. Some areas around staff recruitment need to be improved though, so every step has been taken to protect vulnerable people from unsuitable workers. What the care home does well: People get written information before they move in, so they can see how staff will consider their right to live in a safe home, where they are respected, and their dignity is upheld. This also tells them how they can complain, and who to, if they have concerns about their care. The registered manager checks to make sure that the philosophy of the Care Homes for Older People Page 3 of 9 home is being upheld, and that people are treated with dignity and respect, so she can be certain that standards do not slip. People say they are treated with dignity and respect, and that their right to privacy is not overlooked by staff. They say they feel safe, and if they did have any concerns or complaints, they know someone will listen to them and take action to put things right. They said things like the staff are good - without exception, and I would speak to any of the staff if I felt frightened or had concerns, and feel confident they would put it right. Someone said that generally the staff were pretty good, and had no concerns, although sometimes staff did not acknowledge the person when passing in the corridor. However, they said that the registered manager was great, and that if anything was wrong, they knew she would put it right. They said Shed sort out any complaints. One person said that the staff always knock on their bedroom door before entering, and that they are respectful. They said staff always make sure we are well dressed and clean. Someone else said staff respect their privacy, so they can spend time in their room undisturbed if they wish. They appreciated this. They said though that someone is here if needed. The registered manager and staff keep up to date about safeguarding procedures through training, so people can be sure that they know what signs to look for, should they suspect that someone at the home has been abused. Staff spoken with had confidence that the registered manager would listen and act on their concerns. What they could do better: Although people say they feel safe, the service users guide could tell them how this is achieved. For instance, through staff training, and working closely with other organisations with safeguarding responsibilities. Staff could have easily accessible contact details for the local authority, so any concerns which need investigating by them can be reported without delay or hesitation. Staff recruitment could be more robust, by checking that two suitable people have provided references for the prospective staff member, and by making sure that any gaps in the persons employment are explored, before they begin to start working at the home. This is in addition to the checks that the home already carries out to help protect people from unsuitable workers. Staff who begin work before their police check has been returned should always be supervised. The provider devised a form which she will use in the future to evidence that this has been done. The home could seek information about the Independent Safeguarding Authority, which is a newly established body which now handles referrals about staff who have been found unfit to work with vulnerable people. This would help to make sure that the right organisation was informed if necessary, and without delay. We spoke to a person in their bedroom. The room was cold, and the radiator was switched off. We agreed to tell the registered provider about this, so they could put it right. The fire door into the room had been wedged open, which means it would not close should the fire alarm sound. Immediate action was taken to put this right at the time. All areas of the home could be kept heated at a temperature comfortable for the occupants. Care Homes for Older People Page 4 of 9 Fire doors could be kept shut, to reduce the risk to people from the spread of fire. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 23 Fire doors must be kept shut, 01/12/2009 unless stay open devices have been approved by the fire authority. This is to protect people from the risk from the spread of fire. 2 25 23 The heating to the bedroom 01/12/2009 identified at the site visit must be restored and maintained at a temperature acceptable to the occupant. This is so this persons private accommodation remains comfortable and warm. 3 29 19 Two written references must 01/12/2009 be obtained for prospective staff before they are allowed to work at the home. This is to help protect people from unsuitable workers. Care Homes for Older People Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 Details about what the home does to keep people safeguarded from abuse could be included in the service users guide, so they know what is in place to protect them. Information about the Independent Safeguarding Authority should be obtained, so that the right action is taken, and the right organisation informed promptly, should a staff member be found unfit to work with vulnerable people. The whistle blowing policy should be updated to inform staff about the role of the local authority, who they can report to should they not wish to go direct to the management to report any allegation of abuse. This will help to make sure that all concerns are reported promptly. 2 18 3 29 In exceptional circumstances, where new staff start working before the full police check has been returned, they should be supervised at all times. Details of how this is achieved should be recorded. A full employment history should be obtained from prospective staff as part of the recruitment process, to make sure there is no reason why they would not be suitable to work with vulnerable people. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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